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Individual

JOHN PATRICK VELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
015048
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
280180099
ME
Enumeration date
08/09/2005
Last updated
01/29/2010
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